Noreikaite Gabriele, Kim Sihun A, Horcher Adelaide
Midwestern University Chicago College of Osteopathic Medicine, Downers Grove, IL, USA.
Ear Nose Throat and Sinus Surgery, Northwestern Medicine McHenry Hospital, McHenry, IL, USA.
Ear Nose Throat J. 2023 Feb;102(2):NP72-NP75. doi: 10.1177/0145561321991322. Epub 2021 Feb 2.
Angioleiomyomas are smooth muscle masses originating from blood vessel tunica media. This is a rare tumor, comprising less than 1% of benign sinonasal cavity tumors. Failure to recognize and surgically excise nasal angioleiomyomas can result in lesion recurrence. We present 2 new cases of nasal septum angioleiomyoma at a single institution. Additionally, both cases underwent septal and nasal surgery. Due to the nonspecific clinical and imaging findings, a high index of suspicion is needed to diagnose nasal septum angioleiomyoma, often requiring histopathological verification. Preferred treatment is complete surgical excision. From our experience, concurrent corrective septal and sinus surgery can be completed with tumors less than 1.0 cm in size.
血管平滑肌瘤是起源于血管中膜的平滑肌肿块。这是一种罕见的肿瘤，占良性鼻窦腔肿瘤的比例不到1%。未能识别并手术切除鼻腔血管平滑肌瘤可导致病变复发。我们在一家机构报告了2例新的鼻中隔血管平滑肌瘤病例。此外，这2例患者均接受了鼻中隔和鼻腔手术。由于临床和影像学表现不具特异性，诊断鼻中隔血管平滑肌瘤需要高度怀疑，通常需要组织病理学证实。首选治疗方法是完整手术切除。根据我们的经验，对于小于1.0厘米的肿瘤，可以同时完成鼻中隔矫正和鼻窦手术。
